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PERSONAL INFORMATION <br />Page 3 <br /> <br />Business or Occupation <br /> <br />Street Address <br /> <br />.City/State/Zip Dates <br /> <br />o <br /> <br />Names and addresses of your employers and partners, if any, for the preceding five years: <br />with present or last employer/partner and work back.) <br /> <br />Employers or Partners <br /> <br />Street Address <br /> <br />(Begin <br /> <br />City/State/Zip Dates <br /> <br />Names and addresses of your spouse's employers and partners, if any, for the preceding five years: <br />(Begin with present or last employer/partner and work back.) <br /> <br />Have you, your spouse, parent, brother, sister, or child of either of you, ever been convicted of any <br />felony, crime or violation of any ordinance, other than traffic? Yes~ No If yes, give <br />information as to the time, place and offense for which convictions were had: <br /> <br />o <br /> <br />Have you been in military service? Yes No If yes, was discharge honorable? Yes <br />No (Copies of discharge papers may be required) <br /> <br />Are you directly or indirectly interested in other establishments in the City of Elk River to which <br />license of the same kind has been issued? <br /> <br /> <br />